摘要
目的:对腰-硬膜联合麻醉在无痛分娩实施中的安全性以及可行性进行分析。方法:选取在我院进行分娩的148例初产妇,并将其随机分成两组,每组74例,其中一组采用无镇痛的分娩方式,称为对照组;另外一组采用腰-硬膜联合麻醉无痛分娩方式,称为观察组。最后对两组患者的产程、镇痛效果及其产后情况进行对比分析。结果:经过对比,观察组患者的在第一产程明显的少于对照组,两组差异比较具有统计学意义(P<0.05),第二产程和第三产程差异不大;观察组患者的镇痛有效率为98.6%远远高于对照组的21.6%,两组差异比较具有统计学意义(P<0.05);观察组患者的术后不良反应也均少于对照组,两组差异比较具有统计学意义(P<0.05)。结论:腰-硬膜联合麻醉在无痛分娩实施中具有较高安全性和可行性,不但可以缩短孕妇分娩时间,同时还可以提高镇痛效果,降低术后不良反应,可以在临床中推广使用。
Objective：Safety and feasibility analysis of spinal-epidural anesthesia in the implementation of painless childbirth.Methods：148 cases of early maternal birth in our hospital, and randomly divided into two groups, 74 cases in each group, one group with no analgesic delivery way, known as the control group;another group with lumbar-epidural combined anesthesia painless childbirth way, known as the observation group.At the end of the two groups of patients with birth process, postpartum analgesia effect and its analysis.Results：by comparison, patients in the observation group in the first stage of labor was significantly less than that of the control group, compared the differences between the two groups was statistical y significant （P〈0.05）, the second stage and the third stage had lit le difference;patients in the observation group the analgesic efficiency is 98.6%higher than that of the control group was 21.6%, compared with two groups of difference has statistics significance （P〈0.05）;the observation group of patients with postoperative adverse reactions were less than that in the control group, compared the differences between the two groups was statistically significant （P〈0.05）. Conclusion：lumbar-epidural combined anesthesia with high safety and feasibility in painless childbirth in the implementation, not only can shorten the time of pregnant women, but also can enhance the analgesic effect, reduce postoperative side effects, can be used widely in clinical practice.
出处
《中国医药导刊》
2014年第1期35-35,37,共2页
Chinese Journal of Medicinal Guide
关键词
腰-硬膜
麻醉
无痛分娩
安全性
可行性
Lumbar-epidural
Anesthesia
Painless childbirth
Safety
Feasibility
